Provider Demographics
NPI:1124574538
Name:CONTINUUM CARE HOME HEALTH LLC
Entity Type:Organization
Organization Name:CONTINUUM CARE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:T
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:RN MN CNS
Authorized Official - Phone:340-718-5683
Mailing Address - Street 1:4031 ESTATE LA GRANDE PRINCESSE, SUITE 36
Mailing Address - Street 2:FIVE CORNERS PLAZA
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00820-0000
Mailing Address - Country:US
Mailing Address - Phone:340-718-5683
Mailing Address - Fax:340-718-7632
Practice Address - Street 1:4031 ESTATE LA GRANDE PRINCESSE STE 36
Practice Address - Street 2:
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820-5213
Practice Address - Country:US
Practice Address - Phone:340-718-5683
Practice Address - Fax:340-718-7632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-27
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI2-35455-1L251E00000X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VI481501Medicare Oscar/Certification